NPI | 1245049907 |
---|---|
Former Legal Business Name | MOBILE NP OF THE PALM BEACHES LLC |
Entity Type | Organization |
Authorized Contact | VERONICA LONDONO ARIAS Owner 561-818-6357 |
Organization Subpart ? | No |
Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine |
Additional Taxonomies | 207Q00000X Family Medicine |
261QM1300X Clinic/Center, Multi-Specialty | |
363LP2300X Nurse Practitioner, Primary Care | |
Enumeration Date | 2025-01-06 |
Last Update Date | 2025-06-26 |